| NPI | 1184247074 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JASON MANIN Owner/Dc 940-222-6264 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology |
| Additional Taxonomies | 111N00000X Chiropractor |
| 207RC0000X Internal Medicine, Cardiovascular Disease | |
| Enumeration Date | 2020-05-26 |
| Last Update Date | 2020-05-26 |